DOI: 10.36347/sjams.2023.v11i06.004

Pages: 1004-1007

Reducing neonatal morbidity and mortality linked to anoxia is a real problem for neonatology units in Mali's health districts. Perinatal anoxia is the main cause of early death in Commune II. The aim of our study was to describe the clinical characteristics and immediate outcome of perinatal anoxia and the factors associated with neonatal mortality in this condition. Materials and methods: We conducted a retrospective cross-sectional study from 1 May 2022 to 30 April 2023 in the paediatric department of the Bamako commune II referral health centre. It concerned all births with anoxia in the commune. Results: Out of 2224 newborns seen for consultation, 83 were hospitalised for anoxia, a frequency of 3.73%. These were newborns delivered vaginally (77.1%), from our centre's maternity unit (80.7%), whose mothers were primiparous (41%), between 18 and 25 years of age (43.4%). The main pathology associated with anoxia was neonatal infection (80.7%). According to the Sarnat classification, the severity of brain damage was stage II in 20.5% of cases and stage III in 68.7%. The case fatality rate was 16.8%. Conclusion: Perinatal anoxia is a real health problem because of its frequency and prognosis.